Neurology & Pain Management Coding Alert

Know Your Epidural Block Codes

Don't make choosing an epidural block code harder than it has to be. Typically, neurologists provide services described by the following codes:

62280* - Injection/infusion of neurolytic substance (e.g., alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid
62281* - ... epidural, cervical or thoracic
62282* - ... epidural, lumbar, sacral (caudal)
62310 - Injection, single (not via indwelling catheter), not including neurolytic substances, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; cervical or thoracic
62311 - ... lumbar, sacral (caudal)
62318 - Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; cervical or thoracic
62319 - ... lumbar, sacral (caudal)
64479 - Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or thoracic, single level
+64480 - ... cervical or thoracic, each additional level (list separately in addition to code for primary procedure)
64483 - ... lumbar or sacral, single level
+64484 - ... lumbar or sacral, each additional level (list separately in addition to code for primary procedure).
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